Muhammad Asif Shahzad, Rafique Chatha, Aqib Sohail.
Interpositional temporalis fascia flap: how effective is it in TMJ ankylosis treatment?.
Pak Oral Dental J Jan ;34(4):600-4.

The aim of this study was to evaluate the efficacy of interpositional temporalis fascia flap in the management of TMJ ankylosis by assessing the maximal mouth opening prior and after the procedure and prevention of re-ankylosis after interpositioning. This case series study consisted of twenty one patients of TMJ ankylosis, unilateral or bilateral, irrespective of age and gender. It was carried out at the Oral & Maxillofacial Surgery Department, Lahore Medical & Dental College, Lahore from December 2010 to September 2013. OPG and 3-D scan were the standard radiographs and were taken in every case. All the patients were treated surgically by temporalis fascia flap interpositional arthroplasty. Inter-incisal distance (IID) / mouth opening were recorded preoperatively, immediately after completion of operation and postoperatively at follow-up. An inter-incisal distance/ mouth opening of at least 35mm was achieved in all cases and showed no recurrence of ankylosis in any of the patients. Interpositional arthroplasty using temporalis fascia flap is an effective and reliable method to prevent re-ankylosis. Temporalis fascia flap is available at the operative site, easy to raise, well vascularized, reliable and shows better long term results.

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